TRAVIS COUNTY CONSTABLE, PCT. 5
DISABLED-PARKING ENFORCEMENT VOLUNTEER PROGRAM APPLICATION


Last Name:                                               First Name:                               DOB:        /        /                  

Address:                                                     City:                                          State:          Zip:                

Home Phone:                                                   Work Phone:                                               Ext:           

E-Mail:                                                                                                                                                   

Emergency Contact:                                                                                                                              

Are you at least 18 years of age?            Are you a citizen of the United States?           

Do you reside inside Travis County?           

Did you graduate from high school or receive a GED certificate?           

Degree or training acquired:            

Employment:     Company            Address            Dates         Work Experience

                                                                                                                                                              

Previous volunteer experience/date:                                                                                                    

Why do you wish to volunteer?                                                                                                            

                                                                                                                                                               

Total hours you can volunteer per month:             Transportation available?            

Drivers license number:                                    State:             Vehicle license number:                      

 

WAIVER AND RELEASE OF ALL CLAIMS

There is inherent risk for personal and/or property damage that may occur whenever a person acting as a parking enforcement volunteer issues tickets to persons illegally parked in a disabled reserved parking space. Therefore, individuals chosen and willing to participate as parking enforcement volunteers must agree to sign a separate waiver and release of claims form prior to commencing a training session. In addition, by signing this release you are also authorizing this agency to perform a criminal background check.

Applicant signature:                                                                                     Date:                                 

Please return the completed and signed release to:
Office of Travis County Constable, Precinct Five
1003 Guadalupe St.
Austin, TX 78701
Phone: (512) 854-9100